SEKOLAH TINGGI ILMU KESEHATAN

WIDYA DHARMA HUSADA

PROGRAM STUDI ILMU KEPERAWATAN
UJIAN TENGAH SEMESTER TAHUN AKADEMIK 2020/2021

MATA KULIAH : BAHASA INGGRIS III NAMA :

HARI/TANGGAL : RABU, 28 OKTOBER 2020 N.I.M :
WAKTU : 120 MENIT (10 – 12) SEM/KELAS : 5/A - J
DOSEN : Drs. NURHILALUDIN, MM NILAI TANDA TANGAN
SIFAT UJIAN : TUTUP BUKU

MISCARRIAGE
Miscarriage, also called spontaneous abortion, spontaneous expulsion of the
embryo or fetus from the uterus before the 20th week of pregnancy, prior to the
conceptus having developed sufficiently to live without maternal support. An estimated
10 to 25 percent of recognized pregnancies are lost as a result of miscarriage, with the
risk of loss being highest in the first six weeks of pregnancy. Because many
miscarriages occur prior to a woman knowing she is pregnant, the actual prevalence of
miscarriage is suspected to be higher than that reflected in the data for clinically
recognized cases.

The loss of pregnancy in the first weeks following implantation typically results in
bleeding at about the time of the next expected menstruation. This form of early
miscarriage, which accounts for the majority of miscarriages, is described as chemical
pregnancy. The consecutive loss of pregnancies, which occurs in about 1 to 2 percent
of women, is known as recurrent miscarriage.

The most common cause, accounting for more than 60 percent of miscarriages, is an
inherited defect in the fetus, which might result in a deformed or otherwise abnormal
child. An acute infectious disease may play a role in causing some miscarriages,
particularly if it reduces the oxygen supply to the fetus. Certain uterine tumors or other
uterine abnormalities also may induce a miscarriage. Death of the fetus stemming from
external trauma or from knotting of the umbilical cord is another cause of miscarriage.
Physical traumas (such as blows to or falls of the mother) and psychological traumas
are rarely implicated in miscarriage.

Endocrine disorders such as deficient secretion of the hormone progesterone may cause
poor development of the decidua (the mucal lining of the uterus) or an abnormally
irritable uterus and may thus sometimes result in miscarriage.

Women over age 35 tend to be at increased risk of miscarriage relative to younger

women. Risk factors include the presence of a preexisting medical condition such as
thyroid disease, a history of miscarriage, and prenatal testing such as amniocentesis.
Smoking, drinking alcohol, or taking certain drugs during pregnancy are also recognized
risk factors.

The principal sign of an impending or threatened miscarriage is vaginal bleeding. Other

symptoms may include pain in the abdomen and lower back.

I. ANSWER THE FOLLOWING QUESTIONS

1. What is miscarriage?
………………………………………………………………………………………………………………
2. According to estimation, what causes miscarriage?
………………………………………………………………………………………………………………
3. What is the risk of miscarriage?
………………………………………………………………………………………………………………
4. When do miscarriages occur?
………………………………………………………………………………………………………………
5. What is the indication of early miscarriage?
………………………………………………………………………………………………………………
6. What is the recurrent miscarriage?
………………………………………………………………………………………………………………
7. What may play a role in causing some miscarriages?
……………………………………………………………………………………………………………..
8. What is the principal sign of impending or threatened miscarriage?
………………………………………………………………………………………………………………
II. VOCABULARY
A. EMBRYO TO BIRTH

CHOOSE AN ADJECTIVE AND A NOUN TO COMPLETE THE SENTENCES BELOW

                 ADJECTIVES                      NOUNS

amniotic, birth, breech, dilated, fallopian, baby, blood, canal, cervix, contraction, cord,
fluid, hair, monitoring, period, position,
foetal, lanugo, maternal, menstrual, multiple, pregnancy, tubes
premature, umbilical, uterine
 
1.  Fertilization takes place in the fallopian tubes
2.  the foetus develops within a sac containing ___________ ___________
3.  Oxygen and nutrient are obtained from _____________ _______________
4.  At sixteen weeks the foetus is covered in fine ____________ ____________
5.  Verniox eases the baby’s passage down the ___________ _____________
6. Pregnancy normally lasts forty weeks from the first date of a woman’s last
____________ ________________
7. During labour _____________ ______________ becomes stronger and more regular.
8.  Having more than one foetus in the wombs is known as a _________ __________
9.  A full ____________ _____________ has an opening of about 10 cm
10.A __________ ___________ is when the baby is lying head upwards before delivery

III. GRAMMAR

A. COMPLETE THE SENTENCES USING ELLIPTICAL CONSTRUCTION

1. I have returned the book to the library and she ………………../…………………..

2. She will go hometown and her sister ……………………………/ ………………………

3. Mr. Johan did not work yesterday and his partner …………………./ …………………..

4. She is in the library and I ………………………../ ……………………

5. Mr. Harun has not come yet, and his assistant ……………………../………………………

6. They were in the classroom, and I ………………………../ ………………………..

7. She does not take an English course, her sister ………………./ ………………………

8. He attends the lecture nearly every day and his friends ………………../ ……………………

9. The nurse has not given an injection, and the other nurse …………………/………………

10.Doctor Ahmad performed the operation, and doctor Amir …………………/………………..

11.He had eaten before he went to work, and his father ………………../………………………

12.His father did not attend the wedding party, and his mother ……………../ …………….

13.He was not at home, and his wife ………………………/ ……………………….

14.He took the medicine and his friend …………………../……………………….

15. She has not made the report, and her friend ………………………/………………………..

B. USE PROPER NOUN IN THE FOLLOWING SENTENCES

1. The doctor operated (he ………) because he had an accident that makes (he
………..) leg break.
2. (she ………….) always do exercise to maintain (she ……….) health according to (she
……………..) doctor’s advice
3. The woman (who …………….) is taking care of (I ………..) baby is my (I ……..)
relative
4. (he …….) always takes care of (he ………..) necessity (he …………..)
5. (I ……………..) mother brought up (she ……………..) children since (I ………….)
father passed away.
6. (I ……………..) am responsible for (I ………..) nephew’s education expense since (he
…………..) father totally paralyzed.
7. The man (who …………..) (I ……….) visit every month is (I ……………..) uncle
8. (they …………….) father (who……….) leg was amputated had passed away before
(he ………..) underwent (he ……………….) operation
9. (he ……………..) spends the rest of (he………………) life) in (he………….) hometown.
10. The nurse (who ………) works at hospital is nursing (she…..) mother (who……….)
has diabetes mellitus.

IV. TRANSLATION: Translate this paragraph into good Bahasa Indonesia

The key feature of abortion is cervical dilatation. As the name suggests, the
outcome is unavoidable pregnancy loss. The bleeding is more severe than in threatened
abortion and the woman may collapse from blood loss. The gestation sac separates
from the uterine wall and the uterus contracts to expel the concept. The uterine
contractions cause discomfort similar to that of labour contraction. If a vaginal
examination were made, the doctor would find the cervix dilating, possibly with
products of conception protruding through it. The gestation sac may be expelled
complete or part, usually placental tissue may be retained.
TERJEMAHAN: